HomeMy WebLinkAboutPermit M94-0173 - ARCHER SANDRA• .'.'ff".:1
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Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Permit No: M94 -0173
Type: B -MECH
Category: RES
Address: 4509 S 139 ST
Location:
Parcel #: 734760 -0540
Contractor License No: NORTHWH103R2
TENANT SANDRA ARCHER
MECHANICAL PERMIT
OWNER FOX L R
4509 S 139TH ST, SEATTLE WA 98168
CONTRACTOR NORTHWEST WATER HEATER, INC. Phone: 206 282 -4700
2800 THORNDYKE AVENUE WEST, SEATTLE, WA 98199
CONTACT RICHARD GUILLORY Phone: 206 282 -4700
2800 THORNDYKE, SEATTLE, WA 98119
******************************************** * * * * * * * * * * * * * * *w * * * * * * * * * * ** * **
Permit Description:
INSTALL PAYNE FURNACE 55,000 BTU, GAS PIPING 10 FT
11MC Edition:
1991
Valuation: 1,733.45
Total Permit Fee: 30.00
******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Autho /ized Signature
J i L2 1—
Date
I hereby certify that I have read and examined this permit and know the
same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate
or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign for and
obtain this b 11.ing p�rmit.
Signature:_
Print Name:_
Date:
Title:
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or
abandoned for a period of 180 , days from the Last; inspection.
(206) 431 -3670
Status: ISSUED
Issued: 11/16/1994
Expires: 05/15/1995
Suite:
SITE ADDRESS S .
� C SUITE #
VALUE Of CO N N - $
ASSESSOR ACCOUNT #
1 - ) ( -1 "7(0Cbt5 LJ() -- 6 1
PR9JECT NAME/TENANT
c•1i -v a-- 'V '
k.e ✓
TYPE OF WORK: O New /Addition Modifications (] Repair 0 Other:
DESCRIBE WORK TO BE DONE: ,
4c 1
;:: TYPE .:: >::...::. I :.: , <:<::: ;:;:::::
, . .. .:. .:.... . : :: :
::::::�: OF:
_
.Gff11'l C \ --- avv�' :tC _ /- l (-11..
CONTRACTOR . 1 _
.
I
PHONION
BUILDING USE (office, warehouse, etc.) rr_
NATURE OF BUSINESS: 1 iti
WILL THERE BE A CHANGE IN USE? "No Q Yes IF YES, EXPLAIN:
yVILt. THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
N.. No 0 Yes
IF YES, EXPLAIN:
PROPERTY OWNER 4-,IV" !�
A
RCPT:#
: :> DATE
PHONE
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Zlfi�<l
ADDRESS L 3`
,-- luau]
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CONTRACTOR . 1 _
.
I
PHONION
ADDRESS `� '� '
n
1
WA. ST. CONTRACTOR'S LICENSE # 1,,,
6 „
-
EX DAT
• DESCRIPTION ••
;AMOUNT.` •.:
RCPT:#
: :> DATE
BASIC PERMIT FEE
$15.00'
UNIT(S) FEE
5”
: , 4e .
.
PLAN CHECK FEE
OTHER. .
TOTAL'
O. D0
...
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK Yv\ q
NUMBER I t
APPLICATION MUST BE FILLED OUT COMPLETELY
I HEREBY CERTIFY THAT I H AVE READ AND.'EXAMIN THIS'APPLI.CATION AND; THE S,AMETO BE TRUE
AND :CORRECT, AND I AM AUTHORIZE17�jTO APPLY. OR THIS PERMI
DATE 11461(''
PHONE-22- C ' r
CITY2It , 1(&
7_12 _ 4- 700
BUILDING OWNER
OR
AUTHORIZED
AGENT
PRINT I4 #E
C
ADDRESS D -�- V tn„ _ (ice , \
CONTACT �C C 6-u It. o r
APPLICATION SUBMITTAL In order to ensure that your application is accepted f or plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
BUILDING OWNER /AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit
application and obtain the permit will be required as part of this submittal.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
MECHAN.ZAL PERMIT
APPLICATION
FEES (for staff use only)
DATE APPLICATION EXPIRES
03114/94
SU6IIIITTAL CHECKLIST
MECHANICAL
Completed mechanical permit application (one for each structure or tenant)
Two (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
AMOUNT
OWING:
CONTACTED
\ j p l (1— ( ` q / LIO (
1 � - � ` BY:
�
SUITE NO.
DATE NOTIFIED
(init.)
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(in g
PROJECT NAME
( v et__ y
SITE ADDRESS
�
SUITE NO.
PLAN CHECK
NUMBER
nr\°4 - 01l ?)
CITY OF T`IK( _A
Department of Community Development - Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW OW- ✓ C
in box indicates which departments need to review . the project.
PART`MENT' DATE
O BUILDING -
initial review
O FIRE
FIRE PROTECTI
Sprinklers • Detectors • N/A
ING:
BAR/LAND USE CONDITIONS? ■ Yes
O PLANNING
REFERENCE FILE NOS.:
O OTHER
O BUILDING -
final review
O BUILDING
OFFICIAL
:::DATE
PPROVED
ROUTED
INIT:
INIT:
INIT:
INIT:
CONSULTANT:
_UIREME .
Date Sent -/
MEN1
Date Approved -
FIRE DEPT- LI=TTER DATED:
INSPECTOR:
SCREENING REQUIRED? 0 Yes 0 No
UMC EDITION (year):
REVIEW COMPLETED
01/07/93
_..' ....� • REGISTRATION NUMBER :. '';••
. EPNIr11IIN DAT
&:0i
•
NUR1iHI1(HO
-o4 1i'
• J,; ; REGISTRATION NUMBER '; 1i, E
EXPIRATION DA
'.,'.:b1. •
• ; NPRTtHWH103R 1
1/22/4
At.Onirnbtb .. "'
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1 . y
.''NORTHWEST WTWNTR ' INC /DAVI9 `wM
r 2800 THORNDYKE AVE W ' '
1 - BEATT E l ' WA 98199
Id
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r SIONATUFIE
ISSUED BY
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SIONATUI1
IS o ev DE • T ENT OF.LABOR AND INDUSTRIES
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`' 2800 TEIORNDYKE AVE W ' .
WA 98 .
COMMENTS:
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Address: L4E5 o ci
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Type of Inspection:
Address: L4E5 o ci
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Date Called:
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Special Instructions:
Date Wanted:
.001V - C frjane
• Requester:
Ph)neNa:
o INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes.
0 Corrections required prior to approval.
El moo REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reInspection.
r eceipt No.:
Date:
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CITY OF TUKWILA, WA TRANSMIT
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I P.ANSMIT Number: 94001510 Amount: " 30.00 11/16/94 13:41
Permi,t No: M94-0173 Type: R-MECH MECHANICAL PERMIT
Parcel Na : 734760-0540
bite Address: 4509 5 139 ST
PayMent Method:. CHECK — Notation: WDF INC infq±k
Account Code Descri pt an Pa i d
000/345.830 PLAN CHECK - RES
000/322.100 MECHANICAL RES
Total ( This Payment):
Total Fees: 30.00
Total Al 1 Payments: 30.00
Eil ance:
6.00 •
24.00
, 30 00
. t •
GENERA
GENERA
' GENERA
GENERA
6.00
24.00
O 8.63
34.50
TOTAL 73.13
CHECK 73.13
CHANGE O. 00
7420A000 15:34
Address: 4509 S 139 ST
Suite:
Tenant: SANDRA ARCHER
Type: B -MECH
Parcel #: 734760 -0540
CITY OF TUKWILA
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Permit Conditions:
1. No change:: will be made to : he�p l rii;; x es� approved by the
Architect or Engineer*: _1yihe "1`a g5Ui l d ; i ', ng y w.,Divi ion
2. All permits, i nsp,ect:i•�pn• °" re cor,,ds } , and,. approve ; pl:ans shall be
Y• r , H.
available at the 0 1 s i,te � N } ' i'er`i to ;the start of ^•an . con-
struct i on . Tie 'e' documents . arse' ..t ot 'be. maintained and `;ava i l
able until tina:l inspection 'approval Is gr an.ted
ti
3. All constr;xi°dt'ion to be'L: done ,.,in`� cor t'or•marl,ce with approve
pl an " equiremen of 'the_Uniform Building Cod199
Editionl a6 amended, Uniform..Me,c'h'anical Code (1991 Ed "ition,
and Washington State`�Ener,g,V (1994 Edition) . "°-`:,: ` •
4. Validity°of Permit The..'`Issuence of'''a permit or > ' appreval o >f�' °';
plans 's pecif ications ; arid computations shall not be , -� � �
,strued.to a permit•:for, or : an ; ,. approval of, any ■..iolati,on '•,
of any of the provisions- of the hut .l d.i ng code or of :ny .;;,,
othe ord-inance of the':Jurisd ; Nu l ,permit presuming' to �^
giva ;authority to _viol'ate or,:cance ° `'.the )pr o.v ofd; this. .
code, shall be +=va i'id. 5 •I x • �; > 1 ,° ( f �; '
5. MANUF ?I ON SITE.''" FOR. THE BUILDING`I'NSPE.CTORS-REVIEW t •. .. '�
6. Plumb$ingermi;ts slial l 'be ,ohtairled through, the Seattle- King
County Department of,� 1'`i c'" H eaJ,t h ' P l,u:mb.ing will be'
inspected .by that agency, including a'1:"1 g.....:p�i.p g '`' i
r �" i n �,, ,,
(2964722)'. ,F v " A „
7. Electr�li permits shall be obtained, ro ghh'e Washt..�lg
State p'ivision of' Labor and Industr°ike and "all eie: trtca:;l,,,
work will be inspected by that agency 5:248166311,) ," ,
8. "NO WORFy;: SHALL r ,BE DbNE IN ADDITION TO "TH02,4, MODIFICATIONS 0
REPLACEMENT OF: EX.IST�ING APPLIANCES AS DESCRIBED ONy.THIS
ORIGINAL;} MECHAN PERMIT. "
>:\ ., , r; .o fit Z' • rat
Permit No: M94 -0173
Status: ISSUED
Applied: 11/16/1994
Issued: 11/16/1994